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New Mexico Form 851: What You Should Know

If bill is paid over the counter, the patient is not eligible for the inpatient bill. If bill is payable in person at a designated billing office, and is paid before the date of hospitalization or surgery, the patient is eligible. When the hospitalization or surgery date is on a bill, the following is necessary to determine if the patient qualifies for the inpatient bill: a) If the hospitalization or surgery date is on bill, the following must be shown: Payment Type = 851: This bill establishes a new patient payment system for the treatment date specified on the bill and the date the bill becomes due. The bill must include all bills made to the same patient and the date the payment becomes due (not that may be the date of payment when the patient or bill collector paid the bill in person at a designated billing office. Payment Type = 851: This bill establishes a new patient payment system for the treatment date specified on the bill and the date the bill becomes due. The date of the payment is based on the billing date, the billing frequency, and the type of payment to be made. It is the intention of the Department to offer a “pay as you go” service in which the bill is paid up front. However, due to the low use of the service by the public, the Department will not pay a bill in this manner if the bill amounts paid for services are less than one quarter of the total billed for services. The following are the payment method(s) acceptable to the Department for billing services provided to the same patient: Billing Method = 851: This bill establishes a new patient payment system for the treatment date specified on the bill and the date the bill becomes due. The bill must include all bills made to the same patient and the date the payment becomes due (not that may be the date of payment when the patient or bill collector paid the bill in person at a designated billing office. Payment Type = 851: This bill establishes a new patient payment system for the therapy date specified on the bill and the date the bill becomes due. The bill must include all bills made to the same patient and the billing date, if different from the therapy date and billing frequency specified on the bill.

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